Transtemporal-transchoroidal approach and its transamygdala extension to the posterior chiasmatic cistern and diencephalo-mesencephalic lesions View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2008-03-03

AUTHORS

A. Hamlat, X. Morandi, L. Riffaud, B. Carsin-Nicol, C. Haegelen, H. Helal, G. Brassier

ABSTRACT

The aim of this report is to illustrate the successful surgical management of five patients with suprasellar retrochiasmatic and diencephalo-mesencephalic tumours, using a trans-amygdala extension of the trans-temporal/trans-choroidal fissure approach.The procedure is described for five surgically treated patients with such lesions that includes three retrochiasmatic craniopharyngiomas, one hypothalamic hamartoma, and one pilocytic astrocytoma in the left crus cerebri. The management procedure included computed tomography scan (CT scan) and magnetic resonance imaging (MRI). The trans-temporal/trans-choroidal fissure approach enabled us to perform total tumour resection in four patients and a subtotal resection in one. Some technical aspects and pitfalls of the procedure are discussed.This method creates optimum conditions for a radical excision of various suprasellar retrochiasmatic and diencephalo-mesencephalic tumours without mortality and only minimum morbidity. However, no single surgical approach can provide access to the entire variety of tumours located in the suprasellar retrochiasmatic and diencephalo-mesencepalic region. Surgical approaches must be tailored to the site, type of lesion, and its extensions. This method is only another surgical option. Its successful use requires a familiarity with the anatomy of these regions and an understanding of its specificity for a radical excision of some selected tumours, as well as its limitations to access others types of lesions. Although, it seems effective, this approach needs to be evaluated by further experience, owing to the small number of patients reported in this series. More... »

PAGES

317-328

References to SciGraph publications

  • 1989. Brain Stem Expanding Lesions: Stereotactic Diagnosis and Therapeutical Approach in ADVANCES IN STEREOTACTIC AND FUNCTIONAL NEUROSURGERY 8
  • 1985. Selective Amygdalo-Hippocampectomy Operative Anatomy and Surgical Technique in ADVANCES AND TECHNICAL STANDARDS IN NEUROSURGERY
  • 1990-11. Stereotaxic biopsy of brain-stem tumours in children in CHILD'S NERVOUS SYSTEM
  • 1983-06. Removal of intraponto-mesencephalic spongioblastoma in NEUROSURGICAL REVIEW
  • 1996-12. Microsurgical anatomy of the anterior choroidal artery in SURGICAL AND RADIOLOGIC ANATOMY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00701-007-1460-2

    DOI

    http://dx.doi.org/10.1007/s00701-007-1460-2

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1019701048

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/18311527


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